Friday, January 11, 2013

APTA Enhances MPPR Calculator Instructions

APTA has
posted new instructions to help members use the multiple procedure payment
reduction (MPPR) calculators to determine their payment for
services in 2013 based on the MPPR only and compare 2012 payments with 2013
payments. The downloadable step-by-step instructions include screen captures
and example scenarios to better illustrate the fields that users must complete
to calculate and compare payment
amounts.

The American Taxpayer Relief Act of 2012 (HR 8) applies the MPPR to therapy
services at 50%, up from 20% for office settings and 25% for facility settings,
beginning April 1. APTA estimates the application of a 50% MPPR policy will
reduce payments by approximately 6%-7%. This reduction will be partially offset
by a 4% increase in the practice
expense values that resulted from the Centers for Medicare and Medicaid
Services' use of new survey data of practice expenses conducted by APTA. The
impact of the MPPR reduction on individual practices and facilities will vary
depending on the CPT codes billed and the typical duration of the therapy
sessions.

APTA
will advocate to stop the implementation of the MPPR provision.

For more information on the MPPR,
other provisions included in HR 8, and new functional limitation reporting
requirements that went into effect January 1, go to APTA's 2013 Medicare Changes webpage.

Comments

I don't know where you got 6%-7% reduction, but once again the APTA is way off. We just did our quarterly analysis, with the MPPR it is a 30% loss in reimbursement for the same services compared to 2012. Perhaps the APTA should tie it's dues to P.T. reimbursement, then perhaps the APTA may actually provide a service to our profession.